Provider Demographics
NPI:1114547296
Name:BOKHARI, SYED MUHAMMAD MASHHO
Entity Type:Individual
Prefix:
First Name:SYED MUHAMMAD MASHHO
Middle Name:
Last Name:BOKHARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES, DALLAS, UNIVERSITY OF TEXAS SOUTHWEST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75990
Mailing Address - Country:US
Mailing Address - Phone:214-648-8780
Mailing Address - Fax:214-648-5250
Practice Address - Street 1:5323 HARRY HINES, DALLAS, UNIVERSITY OF TEXAS SOUTHWEST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75990
Practice Address - Country:US
Practice Address - Phone:214-648-8780
Practice Address - Fax:214-648-5250
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program